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SUREVISION EYE CENTERS
NPI 1699857912
Ophthalmology in Creve Coeur, MO

Active since October 19, 2006CLIA 26D2090389 · Waiver
12101 WOODCREST EXECUTIVE DR STE 150, CREVE COEUR, MO 63141(314) 921-2020(314) 863-9977 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surevision Eye Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUREVISION EYE CENTERS (NPI 1699857912) is a healthcare organization registered as an ophthalmology in Creve Coeur, Missouri and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Shelley Lynn Miana, Coo, as its authorized official.

NPPES Registry Identity

NPI1699857912
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSUREVISION EYE CENTERS MIDWEST LLC
Location Address12101 WOODCREST EXECUTIVE DR STE 150Creve Coeur, MO 63141-5050
Mailing Address320 Brookes Dr, Suite 111Hazelwood, MO 63042-2736 · (314) 726-5669 · Fax (314) 726-5109
Phone(314) 921-2020
Fax(314) 863-9977
Organization SubpartNo
Authorized OfficialShelley Lynn MianaCoo · (314) 726-5669
Enumeration DateOctober 19, 2006
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1699857912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
12101 WOODCREST EXECUTIVE DR STE 150, Creve Coeur, MO 63141
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Other Names 1

Doing Business AsSurevision Eye Centers

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2090389

Surevision Eye Centers Midwest LLC · Saint Louis, MO
Active · expires Jan 21, 2027
CLIA Number26D2090389
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorLawrence A. Gans
Laboratory Phone(314) 921-2020
Laboratory LocationSurevision Eye Centers Midwest LLC12101 Woodcrest Executive Drive Suite 150, Saint Louis, MO 63141
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LAWRENCE A GANS M.D.
Ophthalmology
12101 WOODCREST EXECUTIVE DR STE 150
CREVE COEUR, MO 63141
St. Louis County (314) 863-9966
DR. TONYA K BOURN O.D.
Optometrist
12101 WOODCREST EXECUTIVE DR STE 150
CREVE COEUR, MO 63141
St. Louis County (314) 863-9966
SUREVISION EYE CENTERS MIDWEST LLC
Durable Medical Equipment & Medical Supplies
12101 WOODCREST EXECUTIVE DR STE 150
CREVE COEUR, MO 63141
St. Louis County (314) 921-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surevision Eye Centers Midwest LLC's NPI number?

The NPI number for Surevision Eye Centers Midwest LLC is 1699857912. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Surevision Eye Centers.

Where is Surevision Eye Centers Midwest LLC located?

Surevision Eye Centers Midwest LLC is located at 12101 Woodcrest Executive Dr Ste 150, Creve Coeur, MO 63141. The listed phone number is (314) 921-2020.

What is Surevision Eye Centers Midwest LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Surevision Eye Centers Midwest LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2090389) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surevision Eye Centers Midwest LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Surevision Eye Centers Midwest LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Surevision Eye Centers Midwest LLC was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.